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KMID : 0361020220650030150
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 3 p.150 ~ p.156
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Adherence to Positive Airway Pressure therapy as Severity of Adult Obstructive Sleep Apnea
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Park Seong-Bin
Seo Min-Young
Lee Min-Kyu
Han Mun-Soo
Yoo Jun
Hwang Sun-Jin
Lee Seung-Hoon
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Abstract
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Background and Objectives The aim of this study was to compare adherence to positive airwaypressure (PAP) therapy in patients with obstructive sleep apnea (OSA) of different severity.
Subjects and Method We conducted a retrospective study including 270 adult OSA patientswho used a PAP device for at least 3 months. We assessed the percentage of days onwhich the device was used, the percentage of days on which the device was used for ≥4 h, andthe average duration of PAP device usage at 12 weeks of PAP therapy. We also evaluated adequateadherence to PAP therapy using a PAP device for ≥4 h/day and during ≥70% of nights.
Results The percentage of days on which a PAP device used did not differ significantly accordingto OSA severity (median [Q1-Q3]; mild: 91.40% [81.25%-97.65%], moderate: 94.50%[86.90%-100%], severe: 95.90% [88.10%-100%], p=0.268). We also found that the percentageof days on which a PAP device was used during sleep for ≥4 h was not significantly differentin patients with different OSA severity (median [Q1-Q3], mild: 76.20% [69.70%-89.90%],moderate: 89.30% [67.65%-95.70%], severe: 85.70% [75.85%-95.45%], p=0.097). The percentageof patients with adequate PAP adherence did not differ significantly according to OSA severity(mild: 74.2%, moderate: 72.1%, severe: 83.0%, p=0.084). Moreover, the mean duration(minutes) of PAP device usage during sleep did not differ significantly according to OSA severityin the mild, moderate, and severe OSA groups (mean±standard deviation, mild: 348.03±47.78 min, moderate: 358.58±85.22 min, severe: 363.79±57.21 min, p=0.440).
Conclusion Adherence to PAP therapy did not differ significantly according to OSA severity.
Therefore, it is necessary to continuously expand and maintain the insurance for healthpromotion in OSA patient in South Korea.
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KEYWORD
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Continuous positive airway pressure, Obstructive sleep apnea, Treatment adherence and compliance,
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